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adjudication specialist

3 months ago

Englewood, Colorado, United States BrightSpring Health Services Full time
Our Company

Amerita

Overview


Come join our closed-door specialty infusion pharmacy Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.

As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals.


The Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims, resolution of third-party rejections, and coordination of benefits.


WORK SCHEDULE:
Mon - Fri 10am-6:30pm

  • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
  • Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
  • 401(k) Retirement Plan with Employer Match
  • Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
  • Employee Discounts
  • Tuition Reimbursement
  • Paid Time Off & Holidays
Responsibilities

Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer policies and guidelines.

Verifies accuracy of claim submissions, including medication codes, quantities and pricing and resolve any discrepancies or errors.

Knowledgeable to perform all Document Management functions. Provides thorough, accurate and timely responses to requests.

Qualifications

High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy

1+ years pharmacy experience

Pharmacy or healthcare-related knowledge

Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication

Basic math and analytical skills

Intermediate typing/keyboard skills

About our Line of Business


Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.

Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider.

For more information about Amerita, please Follow us onTwitter ) and LinkedIn ) .

Salary Range

USD $ $26.00 / Hour

ALERT:
We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience.

During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text or email.

If you are suspicious of a job posting or job-related email mentioning our company, please contact us at .

Click here ) for additional FAQ information.

Job LocationsUS-CO-ENGLEWOOD

ID
Line of Business Amerita

Position Type Full-Time

Pay Min USD $17.35/Hr.

Pay Max USD $26.00/Hr.